UnitedHealth Revenue Grows by $14 billion in 2024
Jul 16, 2024 · For the second quarter of 2024, UnitedHealth’s earnings reached $98.9 billion, up almost $6 billion from the same quarter last year. The increase, company executives said, reflect growth at Optum and UnitedHealthcare. Second quarter adjusted earnings from operations were $8.7 billion and include business disruption from the Change Healthcare cyberattack.
UnitedHealthcare Adds Deductibles to Medicare Part D for 2025
Oct 3, 2024 · UnitedHealthcare is adding deductibles to Part D prescriptions on certain formulary tiers as a result of plan design changes from the Inflation Reduction Act.
CVS Caremark Makes Changes in Diabetes Coverage for 2025
Nov 25, 2024 · CVS Caremark has removed several diabetes drugs favor of newer products and generics, and is even favoring an insulin infusion system developed by a company that was cofounded by Alan Lotvin, a former executive at CVS Health.
Understanding “Delinking” in the PBM Legislation | AMCP 2024
Apr 16, 2024 · Ross Margulies, J.D., M.P.H., a partner at the Foley Hoag law firm, discusses proposals to “delink” what pharmacy benefit managers are paid from the price of drugs.
Aetna Updates MA and Drug Programs for Medicare in 2025
Oct 1, 2024 · In 2025, Aetna, the health insurance company of CVS Health, has added several new programs to Medicare for 2025. Aetna will launch new Chronic Condition Special Needs Plans (C-SNPs) in Illinois (Chicago) and Pennsylvania (Philadelphia and Pittsburgh).
Lilly Introduces Zepbound Single-Dose Vial for Cash-Paying Patients
Aug 27, 2024 · “In a clinical study, the 5 mg maintenance dose helped patients achieve an average of 15% weight loss after 72 weeks of treatment and has been a powerful tool for millions of people with obesity looking to lose weight and keep it off,” Patrik Jonsson, executive vice president, and president of Lilly Cardiometabolic Health and Lilly USA, said in a news release.
New AGA Guideline Adds New Therapies for Managing Moderate …
Dec 5, 2024 · The American Gastroenterological Association (AGA) recently published an updated clinical practice guideline for the management of moderate-to-severe ulcerative colitis (UC) in adult outpatients. The update amends the 2020 version, adding new treatments that were FDA-approved after the last guideline was published.
What’s Changed In Hospice in 2024? - Managed Healthcare …
Aug 5, 2024 · Physician eligibility. Another change in the 2024 fiscal year is that CMS now requires that doctors who certify patients to be eligible for hospice care to be enrolled as a Medicare provider or be opted out in a valid manner.
How Capitation Contracts Benefit Providers, Payers and Patients
May 11, 2023 · The Covid-19 pandemic triggered a dramatic decline in patient volume that devastated revenues for provider organizations operating under the fee-for-service (FFS) reimbursement model. In response, more provider organizations have adopted alternative payment models (APM) built around financial incentives to efficiently deliver high-quality care.
Beyond the Big Three PBMs - Managed Healthcare Executive
Dec 19, 2022 · By almost any measure, the PBM business is one dominated by the major players. In 2021, CVS Caremark led the industry, controlling 34% of total adjusted claims, followed by Express Scripts (25%) and Optum Rx (21%).